Xie L F, Zhu L, Zhang F Z, Hu W N, Zhao K, Jiang K, Yu W, Sun Z W
Department of Otolaryngology Head and Neck Surgery,Peking University Third Hospital,Beijing,100191,China.
Department of Otolaryngology Head and Neck Surgery,Beijing Children Hospital.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2016 Aug 5;30(15):1206-1209. doi: 10.13201/j.issn.1001-1781.2016.15.007.
The aim of this study is to investigate the climatic changes on spring phenology impacting on the consultation rate of patients with allergic rhinitis.We analyzed the periods of full flowering stages of 15 kinds of flowers in Beijing from 2013 to 2014,and the number of patients with allergic rhinitis in the outpatient clinic of Otolaryngology Department of Peking University Third Hospital in the same time.The correlation test, analysis of variance and rank sum test were used to investigate the inherent laws and associations between the full flowering stages and the ratio of patients with allergic rhinitis.①Between 2013 and 2014,the early and middle April were the full flowering stages of Platycladus orientalis,Salix matsudana, Fraxinus chinensis,Elms and Birches.The number of patients with allergic rhinitis in outpatient clinic elevated obviously in this period.②There were overlaps of full flowering stages among different plants.During periods in which three or more kinds of pollens in full flowering stages,the consultation rate of patients with allergic rhinitis is higher than less overlaping flower period.The difference was statistically significant(F value were -2.281,-2.964 respectively, <0.05).Also,there were obvious positive linear correlations between the number of overlap of different pollens and the consultation rate of patients with allergic rhinitis in in 2013 and 2014(=0.957, 0.964 respectively).During the overlaping flower periods,there was a higher consultation rate of patients with allergic rhinitis.In prevention and treatment of allergic rhinitis,the overlapping effect of full flowering stages of different pollens should be taken into account.Upgrade the alarm level will reduce the incidence of AR and the degree of allergic rhinitis episodes.
本研究旨在探讨气候变化对春季物候的影响以及对过敏性鼻炎患者就诊率的影响。我们分析了2013年至2014年北京15种花的盛花期，以及同期北京大学第三医院耳鼻喉科门诊过敏性鼻炎患者的数量。采用相关性检验、方差分析和秩和检验来研究盛花期与过敏性鼻炎患者比例之间的内在规律和关联。①2013年至2014年，4月上旬和中旬是侧柏、旱柳、白蜡、榆树和桦树的盛花期。在此期间，门诊过敏性鼻炎患者数量明显升高。②不同植物的盛花期存在重叠。在三种或更多种花粉处于盛花期的时间段内，过敏性鼻炎患者的就诊率高于花期重叠较少的时期。差异具有统计学意义（F值分别为-2.281、-2.964，P<0.05）。此外，2013年和2014年不同花粉重叠数量与过敏性鼻炎患者就诊率之间存在明显的正线性相关（r值分别为0.957、0.964）。在花期重叠期间，过敏性鼻炎患者的就诊率较高。在过敏性鼻炎的防治中，应考虑不同花粉盛花期的重叠效应。提高预警级别将降低过敏性鼻炎的发病率和发作程度。
